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A fiel& inspection was conducted to determine compliance with approved Plans. Final approval denotes that
there are no objections from the above signed Department to the granting of
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GRANT FINAL PROJECT APPROVAL
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GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 160 DAYS
T PERMIT LIMIT. 1 YEAR , PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
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IHERED ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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Th,c pplicItIl. a m a p,,,Jt u,,fil sq,ld by Ifut
THE OWNER. I AGREE TO COM PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
13,11ding Official 11 lulfhe, Deputy: Pd Fee, .,a Fell. ..d
71ON; �ND'IN DOING THE WGIRICAUTHORIZED THEREBY. NO PERSON WILL BE LEMPLOYED
THE STATE OF WASHINGTON RE ATING TO
TION 111101 il 1oWI1dg,d;m space provided.
IN VCLAT ON OF THE LABOR CODE OF
CRUf!.FNSATiON INSURANCE AND RCVV 18.27.
FFICIALS SIGN,";UE DATE
�WORKMENS
F_—S,TNAV�VrOWNeR )R AGENT)
Su:
Su:;j�S
DATE SIGNE
(425)
Qfv,_�)
771-0220
R�EASED dATE
ATTENTION
EXT1333
A_RY
L
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI 771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
A FINAL
HAS BEEN GRANTED. USC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
CATE OF OCCUPANCY